Individual
PAMELA J. HIRN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCSW, LPC, CSAC
Contact information
Practice address
421 NEBRASKA ST, STURGEON BAY, WI 54235-2225
(920) 746-7155
(920) 746-2439
Mailing address
421 NEBRASKA ST, STURGEON BAY, WI 54235-2225
(920) 746-7155
(920) 746-2439
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15519-132
WI
101YP2500X
Professional Counselor
1749-125
WI
1041C0700X
Clinical Social Worker
Primary
865-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001684416
PROVIDER NUMBER
WI
Enumeration date
04/26/2006
Last updated
05/12/2016
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